Patten Drug LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATTEN DRUG LLC

Practice address

20 Main St
Patten, ME 04765-0000

Phone

(207) 528-2244

Fax

(207) 528-2243

NPI assigned

Feb 1, 2007

Last updated

Mar 22, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joel Fitzpatrick

Title

Owner

Phone

(207) 528-2244

Specialties & licenses 3

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1053459404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047650675",
            "telephone_number": "207-528-2244",
            "fax_number": "207-528-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047650000",
            "telephone_number": "207-528-2244",
            "fax_number": "207-528-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTEN DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-528-2244"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50000115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010507344",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2002020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail M Miller, LPN
• Jane Marie Moody, RN
• Michelle R. Moscone
• Heidi L Osgood-Evers, RN
• Ronald Denis Ouellette, DC
• Patten Drug LLC (Patten Drug Company)
• David N Pellin, PA-C
• Pamala Sue Pellon-Irwin, FNP APRN BC
• Crystal Holly Pipes, REGISTERED NURSE
• Susan Plissey, APRN-CNP

• Durable Medical Equipment & Medical Supplies in Patten, ME
• Providers in Patten, ME by specialty
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.